Philip Merrill Sampson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14693 Issued in CA

Practice address

1140 Main St
Livingston, CA 95334-1257

Phone

(209) 394-7913

Fax

(209) 394-9093

NPI assigned

Aug 25, 2006

Last updated

Oct 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Choice Physician Partners

  dba Greater Modesto Medical Surgical Associates

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  Medicare reassignment Care Compare group
• Lumira Healthcare

  dba LCH Pharmacy

  • Community/Retail Pharmacy
  • Livingston, CA
  • NPI 1073175675
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1508974213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341257",
            "telephone_number": "209-394-7913",
            "fax_number": "209-394-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341257",
            "telephone_number": "209-394-7913",
            "fax_number": "209-394-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "PHILIP",
        "middle_name": "MERRILL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "14693",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA14693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Romero, M.D.
• Yesenia Rubio
• Esmeralda Ruiz, LCSW
• S&P Nursing Corp
• Gurjot Kaur Saini, DMD
• Marc Rey Garcia Sanchez, MS, RD, CSSD, CSOWM
• Gina Ann Schwenger, EMT
• Ricardo D Segura
• Nareeta Sharma
• Anays G Sicairos, RDH

• Medical Physician Assistant in Livingston, CA
• Providers in Livingston, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.